National Provider Identifier Database

JOHANNA L OLSON KENNEDY, MD – NPI #1396831665
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

JOHANNA L OLSON KENNEDY, MD
301 S FAIR OAKS AVE STE 105
PASADENA, CA91105-2536
Phone: 866-846-5062
Fax:
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for JOHANNA L OLSON KENNEDY

NPI Number 1396831665
Credentials MD
Entity Individual
Enumeration date 10/05/2006
Last updated 10/01/2025 - About 8 months ago
Sole proprietor1 Yes
Identifiers
  • CA License #: A067352
  • CA License #: A67352
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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